HomeMy WebLinkAbout0023621-HVAC (a/c) CITY OF OSHKOSH N2 23621
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ? ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 945_____i ff^ e 14...0 a/ G PLAN NO.
OWNER fie'/ /'ti F /5 17 e r
DESIGNER
USE /NATURE OF WORK acc ` c____ .., ,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
e. HEATING CONTRACTOR iPy Pl.
Heat ❑ A/C VD Vent ❑ Fuel /System Heat Loss E - 5 41\ 5 - 7 — BTU'S -4' l
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS . Water
Other
FEES: Valuation $ 2« .- O `e) Permit Fee Paid $ � - G . ei`e) Park Dedication $
ISSUED BY Date 4/y /4/ Final /O.P. '/ 7 / 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ' ../ �" A fr/ff AGENT /OWNER D
ADDRESS
TELEPHONE #
APPL. DATE ' f J A /
PERMIT ISO. L{ .
ADDRESS
y
OWNER Are-y/ /' .
NATURE OF WORK 'I.4
HEATING CONTRACTOR
■
FUEL: GAS OIL
SOLAR SOLID
CONDITIONING FORCED AIR
SYSTEM H ' W ELEC. BASE.
RADIANT SUPPL. STEAM
CHIMNEY: "A" }cA�C VENT.
"B"
CALCULATED HEAT LOSS DIRECT VENT
MISC.
— �S°i SYSTEM BTU RAT�NGB E
INSP. ROUGH IN
EST. COST FINAL 0
REMARKS 1�. �� PERMIT FEES_�� DATE PD,
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